Provider Demographics
NPI:1699986265
Name:GUARIN, TYRONE ORLAND CARDENAS (PT)
Entity type:Individual
Prefix:
First Name:TYRONE ORLAND
Middle Name:CARDENAS
Last Name:GUARIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7381 MORTON ST
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-4294
Mailing Address - Country:US
Mailing Address - Phone:219-736-8985
Mailing Address - Fax:
Practice Address - Street 1:1000 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-4326
Practice Address - Country:US
Practice Address - Phone:219-464-4858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05007649A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist